State Plan Amendment (SPA) 23-0004 is being submitted to add reimbursement for emergency ambulances for the initial twenty-five (25) miles at a rate of $.01 per mile, effective February 1, 2023. For more information, read the proposed SPA pages. Posted byKelly Shannon March 9, 2023 0 Share: Related Articles MS SPA 22-0004 COVID Vaccines and Administration approved by CMS Public Notice for SPA 23-0021 Community Mental Health Services Rate Update Xerox business process services to become Conduent Medicaid helps 551 beneficiaries transition back into community settings How to Complete Your Renewal Online Synagis update – March 2023